COLLEEN HOLDENER (NPI# 1790192201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790192201 |
| Entity Type | Individual |
| Full Name | COLLEEN HOLDENER |
| Other Name | COLLEEN CLARK |
| Practice Address |
5215 N Ravenswood Ave Suite 105 Chicago IL 60640-1668 |
| Practice Telephone | 7738787330 |
| Enumeration Date | 2014-07-16 |
| Last Update Date | 2014-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227007483 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5215 N RAVENSWOOD AVE SUITE 105 |
| City | CHICAGO |
| State | IL |
| Zip Code | 60640-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467506675 | Dr Todd C Renn, P.C. | Chiropractor | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | 2007-01-23 |
| 1831632751 | Harmonic Heart Living | Behavioral Analyst | 5215 N Ravenswood Ave, Ste 208, Chicago, IL 60640-1668 | 2016-11-25 |
| 1144606385 | Serena Pesch | Social Worker | 5215 N Ravenswood Ave, Ste 210, Chicago, IL 60640-1670 | 2015-08-10 |
| 1376950550 | Nicole Miller | Massage Therapist | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | 2014-07-19 |
| 1023425360 | Carlos Matos | Massage Therapist | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | 2014-07-18 |
| 1861780025 | Paul J. Detaege, Lcsw, P.C. | Community/Behavioral Health | 5215 N Ravenswood Ave, Suite 314, Chicago, IL 60640-1668 | 2011-07-20 |
| 1306164215 | Tracie Hinton-chavez | Acupuncturist | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | 2010-05-17 |
| 1447573159 | Thomas Malinsky | Acupuncturist | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | 2010-03-09 |
| 1649500208 | Kenneth Arnold Weber II | Chiropractor | 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | 2010-01-05 |
| 1689797276 | Of Sound Mind, Inc. | Psychologist | 5215 N Ravenswood Ave, Suite 214, Chicago, IL 60640-1668 | 2007-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1548871916 | Borici Counseling LLC | Counselor | 4731 N Paulina St, Chicago, IL 60640 | 2020-08-11 |
| 1306319173 | Gerardo Garcia | Physician Assistant | Medical Staff Office, Weiss Memorial Hospital, 4646 N Marine Drive, Chicago, IL 60640 | 2019-01-04 |
| 1386121283 | Aea Optical Ventures, LLC | Clinic/Center | 4814 N Clark St, Chicago, IL 60640 | 2018-07-24 |
| 1023503885 | Lauren Vassiliades | Internal Medicine | Weiss Memorial Hospital, Medical Education Dpt., 4646 N. Marine Drive, C Elevators, 7th Flr. # 7100, Chicago, IL 60640 | 2018-06-25 |
| 1477061620 | Yesenia Vargas | Nurse Practitioner | 1025 W Sunnyside, Chicago, IL 60640 | 2018-01-22 |
| 1932622206 | Jasleen Kaur Brar | Internal Medicine | 4646 N. Marine Dr., Chicago, IL 60640 | 2017-07-19 |
| 1750802849 | Umer Mukhtar | Internal Medicine | 4646 N. Marine Dr. Med Ed Dept. C Elevators., Weiss Memorial Hospital. 7 Floor. #7100, Chicago, IL 60640 | 2017-06-29 |
| 1184144081 | Ellie Navidson | Registered Nurse | 1015 W Lawrence, 2nd Floor, Chicago, IL 60640 | 2017-06-21 |
| 1962932558 | Jennifer Stridh | Marriage & Family Therapist | 5125 N. Winthrop Ave, 1f, Chicago, IL 60640 | 2017-06-15 |
| Find all providers in zip 60640 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627872 | Patricia Pollard | Massage Therapist | 4437 N Lowell Ave Apt 2, Chicago, IL 60630-4103 | 2020-10-23 |
| 1063029676 | Natasha White | Massage Therapist | 8235 S Kingston Ave, Chicago, IL 60617-1909 | 2020-09-28 |
| 1316554272 | Paula Marie Zaloga-nowak | Massage Therapist | 4942 N Melvina Ave, Chicago, IL 60630-2908 | 2020-09-24 |
| 1326654690 | Helene Decourchelle | Massage Therapist | 3524 N Marshfield Ave Ph, Chicago, IL 60657-1248 | 2020-09-21 |
| 1063028553 | Jerica N Mayo | Massage Therapist | 9430 S Loomis St # 9, Chicago, IL 60620-3615 | 2020-09-20 |
| 1770199622 | Anthony Richard Nichols | Massage Therapist | 4437 N Lowell Ave Unit 2, Chicago, IL 60630-4103 | 2020-09-16 |
| 1225643471 | Molly K Crino | Massage Therapist | 2024 S Allport St Apt 1m, Chicago, IL 60608-3870 | 2020-09-14 |
| 1215542642 | Leslie Morrison | Massage Therapist | 2010 S Wabash Ave Apt 3f, Chicago, IL 60616-1779 | 2020-09-11 |
| 1255946091 | Justin C Deschamps | Massage Therapist | 3244 W Carroll Ave # 1, Chicago, IL 60624-2030 | 2020-09-09 |
| 1275147142 | Kennisha C Simmons | Massage Therapist | 7447 S South Shore Dr Apt 31d, Chicago, IL 60649-3871 | 2020-09-08 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.